STEPHANIE J SHEPHERDSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014206

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

SHEPHERDSON

Business Name

STEPHANIE J SHEPHERDSON

Original Issue Date

11/05/2004

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/17/2024